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    Conditional Assignment

    Uploaded by

    Varsha Thampi
    This document is a conditional assignment form for a life insurance policy. It allows the policyholder to assign the benefits of the policy to their wife or close relative. However, if the assigned person dies before the policyholder or if the policyholder survives the maturity date of the policy, the benefits and rights revert back to the policyholder. The form needs to be copied out on the back of the policy or on a stamp paper and signed by the policyholder and a witness.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Conditional Assignment

    Uploaded by

    Varsha Thampi
    262 views1 page
    This document is a conditional assignment form for a life insurance policy. It allows the policyholder to assign the benefits of the policy to their wife or close relative. However, if the assigned person dies before the policyholder or if the policyholder survives the maturity date of the policy, the benefits and rights revert back to the policyholder. The form needs to be copied out on the back of the policy or on a stamp paper and signed by the policyholder and a witness.

    Original Description:

    form for assignment

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    This document is a conditional assignment form for a life insurance policy. It allows the policyholder to assign the benefits of the policy to their wife or close relative. However, if the assigned person dies before the policyholder or if the policyholder survives the maturity date of the policy, the benefits and rights revert back to the policyholder. The form needs to be copied out on the back of the policy or on a stamp paper and signed by the policyholder and a witness.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    262 views1 page

    Conditional Assignment

    Uploaded by

    Varsha Thampi
    This document is a conditional assignment form for a life insurance policy. It allows the policyholder to assign the benefits of the policy to their wife or close relative. However, if the assigned person dies before the policyholder or if the policyholder survives the maturity date of the policy, the benefits and rights revert back to the policyholder. The form needs to be copied out on the back of the policy or on a stamp paper and signed by the policyholder and a witness.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    LIFE INSURANCE CORPORATION OF INDIA

    Form of Conditional Assignment of Policy to wife or Close relative


    (Policies under Endowment and Double Endowment Assurance Plans)

    Note: This form should not be filled in. The wording of the form, if found suitable,
    should be copied out either on the back of the policy itself, or in the alterative, on a
    proper stamp paper of the requisite value.

    (For Instructions Re: EXECUTION OF AN ASSIGNMENT SEE REVERSE)

    I …………………………………………………………………………………………….
    Consideration of natural love and affection do hereby assign the benefit of all moneys to
    become payable under the WITHIN Policy of Assurance No:………………….of the Life
    Insurance Corporation of India, on my Assuring the sum of Rupees ……………………...
    to my ………………………………………………………………aged…………………..
    (relationship and name)
    years and declare that her/his receipt shall be a sufficient discharge to the Corporation for
    the same PROVIDED however that in the event of my said ………………………………
    predeceasing me, or my surviving the date on which the said policy if so expressed would
    mature, the benefits of the Policy and the right to receive moneys thereunder shall revert
    to me as if this assignment had not been made.

    Dated at …………………this…………………day of …………….2010

    Witness:

    Signature:
    Full Name: ……………………………………………
    Designation: (Signature of Life Assured)
    Address:

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